Organization
GRAVESEND MEDICAL SERVICES,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YELENA ILINA M.D. (PRESIDENT)
(718) 336-1810
Entity
Organization
Contact information
Practice address
825 AVENUE W, BROOKLYN, NY 11223-5558
(718) 336-1810
(718) 627-9338
Mailing address
825 AVENUE W, BROOKLYN, NY 11223-5558
(718) 336-1810
(718) 627-9338
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1974471
NY
Other
Enumeration date
02/13/2007
Last updated
08/22/2020
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